Treatment of hypertension

✔ Treatment of hypertension

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A sedentary lifestyle, alcohol, and cigarette consumption increase body weight which in turn hinders healthy blood circulation and strength of arteries and veins. This results in high blood pressure. So, if you’re overweight, you need to monitor your blood pressure frequently. Отзывы о Treatment of hypertension

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Treatment of hypertension High blood pressure, also called arterial hypertension, is a worldwide health problem and is considered to be one of the main risk factors for cardiovascular disease, including heart attack, stroke, and kidney disease. The effective treatment of hypertension aims to reduce the blood pressure to a healthy value, and thus reduce the risk of complications. Diagnostics as a basis of therapy Prior to the start of a targeted treatment, a thorough diagnosis is required. The multiple measurement of blood pressure at rest, ideally belongs to a 24‑hour history (Ambulatory Blood Pressure Monitoring, ABPM). In addition, laboratory tests (e.g., kidney values, lipid spectrum of blood sugar) and imaging techniques (e.g., echocardiography) are carried out to prevent possible damage to organs (organ damage) and the cause of the high blood pressure check. Non-Pharmacological Measures The first pillar of the treatment consists of lifestyle-related changes, which are sufficient in the case of slightly elevated blood pressure, often to normal levels to restore: Diet: reduction of salt intake to less than 5 g per day increase in vegetable and fruit consumption, adherence to the DASH diet (Dietary Approaches to Stop Hypertension). Weight loss: lose weight with Overweight or obesity (goal: BMI between 18.5 and 24.9 kg/m 2 ). Regular physical activity: at Least 150 minutes of moderate endurance training per week (e.g., Walking, Cycling, Swimming). Reduction of alcohol consumption: a Maximum of 20 g of pure alcohol per day for men and 10 g for women. Waiver of Smoking: nicotine causes vasoconstriction and increases blood pressure. Stress management: relaxation techniques such as Yoga, Meditation and autogenic Training. Drug Therapy If non-pharmacological measures alone are not sufficient, it will initiate pharmacotherapy. The most important groups of Drugs are: ACE inhibitors (e.g. Ramipril): Inhibit the Renin‑Angiotensin‑aldosterone System and cause vessels to a Dilatation of the blood. AT1‑receptor blockers (e.g., Losartan): Work similarly to ACE inhibitors, but with a lower incidence of side effects such as cough. Calcium channel blockers (e.g. amlodipine): Lead walls to a Relaxation of the smooth muscles in the vessel. Diuretics (eg, hydrochlorothiazide): Promote the excretion of water and salt, reducing the blood volume and the blood to decrease pressure. Beta-blockers (e.g., Metoprolol): Lower the heart rate and cardiac output. In many cases, a combination therapy of two or more agents is necessary to achieve the goal target of <140/90 mmHg (in the case of elderly patients, if necessary, <To achieve 150/90 mmHg). Individual adaptation and long-term monitoring The treatment strategy needs to be adjusted individually, taking into account age, comorbidities (e.g., Diabetes mellitus, renal disease) and possible side effects of the drugs. Regular monitoring of blood pressure and laboratory parameters is essential to the therapy continue to effectively and safely. Conclusion The treatment of hypertension requires a multimodal approach that combines non-pharmacological lifestyle changes with targeted pharmacotherapy. Through early and consistent Intervention, the risk of cardiovascular complications can be significantly reduced, and the quality of life of the Affected significantly improve.

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